Table 4. Previous scoring systems in OP poisoning.
| Reference | Parameters used in grading system | Validation | n (deaths) |
Ability to predict mortality | |
|---|---|---|---|---|---|
| Sensitivity (95% CI) | Specificity (95% CI) | ||||
| Bardin et al, 19945 |
Clinical findings (rhonchi, consciousness, hypotension), CXR, ABG |
Retrospective | 62 (3) | 1.00* (0.29 to 1.00) | 0.47* (0.34 to 0.60) |
| Bilgin et al, 200519 |
APACHE II > 16 | Retrospective | 32 (7) | 1.00 (0.59 to 1.00*) | 0.80 (0.59 to 0.93*) AUC 0.92 |
| Simplified acute physiology score (SAPS) II >29 | Retrospective | 32 (7) | 1.00 (0.59 to 1.00*) | 0.76 (0.55 to 0.91*) AUC 0.89 | |
| GCS <9 | Retrospective | 32 (7) | 0.86 (0.42 to 1.00*) | 0.72 (0.51 to 0.88*) AUC 0.90 | |
| Goel et al, 19986 |
Clinical findings (GCS, Pupil size, Fasciculations, Respiratory failure) |
Retrospective | 103 (9) | 1.00* (0.66 to 1.0) | 0.65* (0.54 to 0.74) |
| Grmec et al, 20047 |
GCS ≤ 6 | Retrospective | 65 (4) | 0.84 (0.76 to 0.91) | 0.89 (0.84 to 0.93) |
| QTc on ECG | Retrospective | 65 (4) | 0.90 (0.84 to 0.93) | 0.83 (0.71 to 0.93) | |
| Lee and Tai 2001 8 |
APACHE II >26 | Retrospective | 23 (3) | 1.00* (0.29 to 1.00) | 0.95* 0.75 to 1.00 |
| Sennayake et al, 199310 |
Clinical findings (Miosis, Fasciculations, Respiratory rate, Bradycardia, level of consciousness) |
Prospective | 173 (10) | 0.80* (0.44 to 0.97) | 0.86* (0.80 to 0.91) |
| Sungurtekin et al 200620 |
APACHE II >11 | Retrospective | 48 (11) | 0.90 (0.56 to 0.98) | 0.60 (0.42 to 0.75) AUC 0.79 |
| SAPS II > 28 | Retrospective | 48 (11) | 0.90 (0.56 to 0.98) | 0.81 (0.65 to 0.92) AUC 0.85 | |
| GCS < 9 | Retrospective | 48 (11) | 0.64 (0.31 to 0.89) | 0.78 (0.62 to 0.91) AUC 0.64 | |
Values for sensitivity (95% CI), specificity (95% CI) and AUC calculated from the published data